Cirurgia de catarata: características e opiniões de pacientes com visão mono versus binocular

Marback, Roberta Ferrari; Temporini, Edméa Rita; Júnior, Newton Kara

doi:10.1590/s0004-27492010000500002

Cited by 3 publications

(3 citation statements)

References 13 publications

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“…Many researches have demonstrated that visual impairment due to cataract had negative effects on quality of life, and cataract surgery can improve the quality of life [ 21 – 25 ]. One previous study found that most monocular patients reported incapacity to work and difficulties in performing activities of daily life [ 26 ]. Pomberg and Miller reported that monocular patients gained twice the increase in self-reported functional vision as binocular controls, as assessed by the VF-14 [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

The Impact of Cataract Surgery on Vision-Related Quality of Life and Psychological Distress in Monocular Patients

Lin

Chen

et al. 2021

Journal of Ophthalmology

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Purpose. To determine the changes in vision-related quality of life and psychological distress after cataract surgery in monocular patients and to compared these with a control group of age- and gender-matched binocular patients. Methods. We enrolled 40 monocular patients and 40 binocular patients who underwent cataract surgery from August 2017 to December 2018. All participants undertook eye examinations and answered questionnaires (the National Eye Institute Visual Function Questionnaire, Self-rating Anxiety Scale, and Self-rating Depression Scale) before and after cataract surgery. Result. The monocular patients had significantly worse mean CDVA than the binocular patients before and after surgery. However, there was no significant difference between the increases gained by the two groups. Mean composite VFQ-25 scores of the monocular group were significantly lower than those of the binocular group before and after surgery, but the improvement experienced by the monocular group was statistically larger than the binocular group (37.20 ± 12.84 vs. 19.11 ± 5.13, P < 0.001 ). Mean standard SAS scores of monocular patients were significantly higher than those of binocular controls before and after surgery, while monocular patients experienced a significant greater decline of SAS scores (−9.41 ± 5.39 VS −3.84 ± 1.61, P < 0.001 ). Mean standard SDS scores of the monocular group were significantly higher than those of the control group before and after surgery, but the monocular group experienced a significantly greater decline of SDS scores following cataract surgery (−11.91 ± 6.38 VS −4.78 ± 1.79, P < 0.001 ). There was a significant correlation between the preoperative logMAR CDVA and both the postoperative logMAR CDVA (r = 0.63, P < 0.001 ) and the changes in the logMAR CDVA (r = −0.881, P < 0.001 ) for monocular patients. Linear regression analyses suggested that higher postoperative VFQ-25 scores had significant associations with better preoperative CDVA and the absence of systemic comorbidity (both P < 0.05 ). Age and ocular comorbidity were significantly associated with postoperative SAS scores (both P < 0.05 ). Age and systemic comorbidity remained significant impact factors for SDS scores (both P < 0.05 ). Conclusion. Monocular patients reported greater improvement in vision-related quality of life and greater decline in the level of anxiety and depression than binocular control subjects, despite having similar CDVA gains after cataract surgery. We argue that it is not a better choice for monocular patients to delay cataract surgery until the cataract is very advanced. A clear understanding of the impact of cataract surgery on vision-related quality of life and psychological distress in monocular patients is needed by ophthalmologists when making surgery decision.

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Section: Discussionmentioning

confidence: 99%

The Impact of Cataract Surgery on Vision-Related Quality of Life and Psychological Distress in Monocular Patients

Lin

Chen

et al. 2021

Journal of Ophthalmology

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“…Assim, com relação aos pacientes, faz-se necessário: -conscientizar a população sobre a doença e a possibilidade de cura, estimulando a procura pelo tratamento (3)(4)(5)(6)(7)(8) ;…”

Section: Importância Do Centro Cirúrgico Ambulatorial Para a Realizaçunclassified

“…-promoção de cirurgia economicamente acessível (2)(3)(4)(5)(6)(7)(8)(9) ; -oferta de cirurgia de boa qualidade, que proporcione resultados satisfatórios, utilizando novas tecnologias, e estimule a procura pelo tratamento (2,(10)(11)(12)(13)(14)(15)(16)(17)(18) .…”

Section: Importância Do Centro Cirúrgico Ambulatorial Para a Realizaçunclassified

Importância do centro cirúrgico ambulatorial para a realização de cirurgias de catarata em larga escala

Kara-Júnior¹

2011

Rev. bras.oftalmol.

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Evaluation of job satisfaction of employees of a public hospital care recognized effectiveness

Machado

Silvestre²,

Kara‐José³

et al. 2014

Revista Brasileira De Oftalmologia

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Cirurgia de catarata: características e opiniões de pacientes com visão mono versus binocular

Cited by 3 publications

References 13 publications

The Impact of Cataract Surgery on Vision-Related Quality of Life and Psychological Distress in Monocular Patients

The Impact of Cataract Surgery on Vision-Related Quality of Life and Psychological Distress in Monocular Patients

Importância do centro cirúrgico ambulatorial para a realização de cirurgias de catarata em larga escala

Evaluation of job satisfaction of employees of a public hospital care recognized effectiveness

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